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ALBERT BOURBON
NPI 1194806638
Physician Assistant in Albuquerque, NM

Active since October 18, 2006PECOS Enrolled
301 UNSER BLVD NW, ALBUQUERQUE, NM 87121(505) 925-4126(505) 925-4721 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2023, Mar 22, 2017 (2 updates tracked since 2017).

About Albert Bourbon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALBERT BOURBON (NPI 1194806638) is an individual physician assistant in Albuquerque, New Mexico, licensed in (92PA08) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194806638
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameALBERT BOURBON
Location Address301 UNSER BLVD NWAlbuquerque, NM 87121-1927
Mailing Address933 Bradbury Dr Se, Suite 2222Albuquerque, NM 87106-4374 · (505) 272-3120
Phone(505) 925-4126
Fax(505) 925-4721
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateJune 6, 20232 updates tracked since enumeration
NPPES CertifiedJune 6, 2023
✔ NPI 1194806638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed · 92PA08
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
301 UNSER BLVD NW, Albuquerque, NM 87121
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Albert Bourbon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CYNTHIA A. ZIEMER PSY.D.
Psychologist (Clinical)
301 UNSER BLVD NW
ALBUQUERQUE, NM 87121
Bernalillo County (505) 925-4126
LESLIE DUNLAP
Physician Assistant (Medical)
301 UNSER BLVD NW
ALBUQUERQUE, NM 87121
Bernalillo County (505) 925-4126
MR. LUIS DE JESUS GONZALEZ PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
301 UNSER BLVD NW
ALBUQUERQUE, NM 87121
Bernalillo County (505) 925-4126
DR. CHRIS MCFARLAND PHARMD, PHC
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
301 UNSER BLVD NW, SW MESA CENTER FOR FAMILY AND COMMUNITY HEALTH
ALBUQUERQUE, NM 87121
Bernalillo County (505) 925-4126
LUCIA DARLACH PH.D.
Psychologist (Clinical)
301 UNSER BLVD NW, SW MESA CLINIC
ALBUQUERQUE, NM 87121
Bernalillo County (505) 925-4814
SHAWNTEL MONTOYA
Nurse Practitioner (Family)
301 UNSER BLVD NW
ALBUQUERQUE, NM 87121
Bernalillo County (505) 925-4126
CELIA VALDEZ
Family Medicine
301 UNSER BLVD NW
ALBUQUERQUE, NM 87121
Bernalillo County (505) 925-4126
ABDUL W MAMDANI PA
Physician Assistant
301 UNSER BLVD NW
ALBUQUERQUE, NM 87121
Bernalillo County (505) 925-4126

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Albert Bourbon's NPI number?

The NPI number for Albert Bourbon is 1194806638. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Albert Bourbon located?

Albert Bourbon practices at 301 Unser Blvd NW, Albuquerque, NM 87121. The listed phone number is (505) 925-4126.

What is Albert Bourbon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Albert Bourbon enrolled in Medicare?

Yes. Albert Bourbon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Albert Bourbon was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.